Active NPI
Laura Pine Ellis, M.S.
- Genetic Counselor (M.S.)
- Houston, TX
National Provider Identifier
1912997107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 7400 Fannin Suite 1200
Houston, TX 77054 - Phone
- (832) 398-7048
- NPI assigned
- Oct 27, 2005
- Last updated
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
7400 Fannin Suite 1200
Houston, TX 77054
Mailing address
4838 Lochman LN
Pearland, TX 77584-7652
Phone (713) 824-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1912997107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4838 LOCHMAN LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847652",
"telephone_number": "713-824-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 FANNIN SUITE 1200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "832-398-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "LAURA",
"middle_name": "PINE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.